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Depressive symptoms predict medical care utilization in a population-based sample.

P J Rowan1, K Davidson, J A Campbell

  • 1Department of Psychology, University of Alabama, Tuscaloosa, USA.

Psychological Medicine
|August 13, 2002
PubMed
Summary

Depressive symptoms are linked to increased medical care utilization, even after accounting for medical illness and selection bias. This association holds true for the general population, suggesting a significant connection between mental health and healthcare use.

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Area of Science:

  • Epidemiology
  • Public Health
  • Mental Health Research

Background:

  • Previous studies indicate a link between depressive symptoms and healthcare use, but often suffer from selection bias.
  • This study addresses limitations in prior research by examining prospective medical utilization in a population-based sample.

Purpose of the Study:

  • To investigate the association between depressive symptoms and future medical care utilization.
  • To control for medical illness and selection bias in this relationship.
  • To analyze data from a Canadian population-based sample.

Main Methods:

  • Utilized data from the Nova Scotia Health Survey 1995, involving 3227 adults.
  • Employed the Center for Epidemiological Studies-Depression scale to assess depressive symptoms.

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  • Linked survey data with medical care utilization records for the subsequent year, including outpatient visits and hospitalizations.

    • Main Results:

    • Increased depressive symptoms predicted higher medical care utilization in the following year.
    • This association persisted even after controlling for age, sex, number of medical diagnoses, and medical severity.
    • The findings remained significant after excluding mental health care utilization costs.

    Conclusions:

    • Depressive symptoms are a predictor of greater medical care utilization in a population-based sample.
    • This relationship is independent of various medical severity indicators.
    • Further research is needed to determine if depressive symptoms are a risk marker or a causal factor for increased healthcare utilization.